get published along just by virtue of the fact it could be idea to pay for some things in a political environment. not to say it will because of the political coalition that is against this is quite powerful, but seems to me there's more of a possibility now than in the past. if that's of any solace. >> let me address a little bit the patient-doctor relationship or the patient-doctor-doctor relationship, which is maybe just as important, more important. one of the criticisms of traditional medicare, it is an uncoordinated system. that's correct. and the coordination isn't just between patient and doctor. obviously the fee for service incentives can get in the way of that. but it's also the failure of traditional medicare to really provide structure incentives that encourage coordination across the continuum of care, doctor to doctor, doctor to hospital. medicare is not unique in this but medicare could take more of a leading role in trying to resolve a problem that's a very difficult issue. in the end, i think what we need is health plans, whether it's medicare or other plans, that focus on this